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Stroke Education: Developing Creative Teaching Strategies
Donna Wilson, RN, DNP, APRN-BC, CNRN
Clinical Nurse Specialist
Presenter Disclosure Information
Donna Wilson, RN, DNP, APRN, ACNS-BC
Stroke Education: Creative Teaching Strategies
FINANCIAL DISCLOSURE:
No relevant financial relationship exists
Objectives
• Discuss the significance of stroke education to
health care providers and it’s importance in
emphasizing quality care for stroke patients.
• Review successful evidence-based teaching
strategies on stroke education used nationally.
• Discuss teaching endeavors used in current
practice.
Stroke Outcomes for Effective Education
• Improvement of care to stroke patients and
families.
• Application of a successful stroke educational
model.
• Successful collaboration among disciplines.
Challenges
• How do we effectively provide education that
maintains our health care team’s interest level?
• What are barriers to learning?
• How do we overcome?
• What are some successful teaching strategies
used by other hospitals?
Successful Initial Steps
Develop a stroke educational framework.
Identify key elements of care.
Define levels of knowledge & skills.
Stroke competency toolkit.
Watkins (2012)
What are the Newest Strategies Used Most Effectively?
• Interprofessional education (IPE).
• Simulation.
• Game-based learning.
IPE Literature
Catangui & Slark (2012)
• Developed a conceptual framework.
• Three day stroke education initiated by all
disciplines.
• Addressed hyperacute, acute, and rehabilitation
including palliative care.
• Used a variety of educational strategies
IPE Literature
Read & Palmer (2013)
• Practice Development Initiative: Patient-centered approach: Emphasized holistic thinking and clinical skill development.
• Developed two day course on both the communication and psychological challenges in stroke care.
• Used patient stroke survivors who had aphasia.
• Required completion of practice skills: e.g cognitive assessment.
IPE Literature
Jones, Waters, Benson, Jones, Hammond, &
Bailey (2012)
• IPE training curriculum developed to focus on
stroke self-management program.
• Eleven professions received education.
• Results demonstrate that the greatest change in
practice was observed in the in-patient
rehabilitation unit.
IPE Literature
Catangui (2015)
• Interdisciplinary stroke program to develop
nurse competencies titled, “Specialized Stroke
Nursing Program” (SSNP)
• Learning needs assessment guided the
curriculum development.
• 600 attendees at time study published.
• Nurse driven education emphasizing teamwork
and specialized care.
Simulation Literature
Freeland, Pathak, Garrett, Anderson, & Daniels
(2016)
• Simulation mannequin used to demonstrate
competency in nurses for assessment of
swallowing screening.
• Used standardized patients for the actual water
screen.
• Improvement in performance was noted.
Simulation Literature
Frallicciardi, Nowicki, & Abbott (2015)
• Curriculum used simulation cases to increase
knowledge & performance in ED interns.
• Two part curriculum:
(1) American Heart Association NIH Stroke Scale
(2) Stroke simulation cases
• Results: Time to head CT and ordering of tPA
improved at end of curriculum.
Game-based Learning
• Used to reinforce new knowledge.
• Involves the learner in a “fun” way.
• Provides opportunity for immediate feedback.
Telner et al (2010)
Case Studies
• Enhance critical thinking.
• Improve decision-making.
• Widely used in clinical practice.
• Present cases to peers in staff meetings.
Thompson (2011)
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“Real Life” Strategies
• Needs assessment.
• Development of a Stroke Academy for health
care professionals.
• Stroke simulation to orientees.
• Emphasis on nursing certification: CNRN,
NVRN, SCRN.
• Lunch & learn classes on stroke during stroke
month.
“Real life” Strategies
• Interactive simulation using Jeopardy game.
• Annual stroke and neuroscience conferences.
• Speaker dinner conferences with invitations to
staff.
• Ancillary staff intermittent teaching.
• Stroke packet on intranet.
• Annual education to all disciplines.
• Tracking of education electronically.
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Summary: Stroke Steps to Success
1. Develop a framework of care that includes all disciplines with requirements for stroke education.
2. Identify stroke resources available in your hospital.
4. Develop requirements for all disciplines on a global perspective.
5. Conduct a needs assessment.
6. Develop a stroke score card.
7. Implement interactive teaching methods. Involve key members. Select those that have a “heart” and show compassion for stroke survivors.